Mesenteric panniculitis

Case contributed by Jan Frank Gerstenmaier
Diagnosis almost certain


This patient presented to the outpatient clinic with abnormal liver function tests. She was asymptomatic.

Patient Data

Age: 52
Gender: Female



Mildly dilated biliary tree without cause seen.

Stranding of mesenteric fat with pseudocapsule and small lymph nodes.

Case Discussion

The edema within the mesentery results in fractional intravoxel fat and thus in signal drop on T1 opposed phase in an area that otherwise maintains signal. Typical appearances with are within the small bowel mesentery demonstrating some edema, and containing small lymph nodes.

The diagnosis of mesenteric panniculitis is somewhat controversial but many consider it as part of the sclerosing mesenteritis spectrum.

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